LINDSAY R BREFELD

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics SAINT LOUIS, MO NPI 1114928629

General Payments — all program years on this page

$268.36

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 15
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $105.10 across 6 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $105.106

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
Cranial Technologies, Inc $63.124
Merck Sharp & Dohme Corporation $23.391
GlaxoSmithKline, LLC. $18.591

By program year

Program yearAmountRecords
2021 $14.101
2022 $31.982
2023 $117.186
2024 $105.106

Records — PY2024 (6)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1082240574 Cranial Technologies, Inc $10.33 06/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1082240576 Cranial Technologies, Inc $13.38 01/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1082240578 Cranial Technologies, Inc $15.69 06/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1082240580 Cranial Technologies, Inc $23.72 12/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116389334 GlaxoSmithKline, LLC. $18.59 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141947193 Merck Sharp & Dohme LLC $23.39 03/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.